The Office of Patient Protection is charged with developing regulations and implementing certain provisions of M.G.L. Chapter 176O governing insurance carriers' internal grievance procedures, detailing certain guarantees of continuity of care and specialty care referral and coverage, and establishing a process for obtaining an independent external review where coverage is denied based upon a medical necessity determination. OPP is also charged with administering and granting insurance enrollment waivers to eligible individuals who seek to purchase non-group insurance when enrollment is closed. Additionally, the Office of Patient Protection assists consumers with questions or concerns relating to health insurance, including grievance and appeal rights and enrollment waiver questions.
About the Director: OPP
Jenifer Bosco is the HPC’s Director of the Office of Patient Protection. The Office of Patient Protection (OPP) safeguards the rights of health insurance consumers by regulating the internal grievance process and administering external reviews for consumers with fully-insured Massachusetts health plans, administering health insurance enrollment waivers, and providing information and education about health insurance concerns to the public. Prior to joining HPC, Ms. Bosco worked on behalf of individuals in non-profit organizations and in government. As an attorney at Health Law Advocates, she directed the organization's Mental Health Parity Initiative. Ms. Bosco represented economically disadvantaged clients as a legal aid attorney with the Massachusetts Law Reform Institute and Merrimack Valley Legal Services, and she previously served as an Assistant Attorney General in the Fair Labor Division. She received her undergraduate degree from Boston College and a juris doctorate from the Georgetown University Law Center.